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The Evergreen CONSTRUCTIONCITY OF <br />everett PERMIT PERMIT NO.O945Q <br />CITY HALL 259 8745 I� <br />EVERETT, WA 98201 ❑ E <br />COMBINATION kBUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER <br />MAIL ADDRESS <br />CITY <br />71P <br />Robert W. Bowser <br />3427 Oakes <br />PHONE <br />Everett <br />98201 <br />342-3407 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />Same <br />ZIP <br />PHONE <br />LICENSE # <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE# <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />21P <br />PHONE <br />LICENSE <br />QLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION }REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />A OF WORK <br />300.00 <br />re -roof composition <br />PROPOSED USE OF BUILDING <br />single family garage <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURH OF CONTRACT0 R AUTHORIZED AGENT DATE <br />X I - 7/2/81 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT13-14BLOCK_ 612E Everett Div. NMI- <br />JOB ADDRESS <br />3427 Oakes <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — M.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS —TONNAGE EA. <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA, <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT —C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />SUBTOTAL <br />SUBTOTAL f <br />PERMIT f <br />PERMIT f <br />SIDE YARD SETBACK <br />TOTAL FEE <br />STREET SETBACK <br />f <br />REAR YARD SETBACK <br />TOTAL <br />PLAN CHECK NUMBER <br />FEE f <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />SIZE OF BLDG, <br />OCCUPANCY GROUP <br />NO. OF STORIES <br />NO. OF DWELLING UNITS <br />MAX. OCC.LOAD <br />BUILDING <br />'300.00 <br />10 <br />00 <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />LIYES ONO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />PENALTY <br />SEC 303(a) <br />3. FIRE HYDRANT <br />TOTAL <br />10 <br />00 <br />4, FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERM# i <br />LO <br />CY) <br />C7 <br />5. GRADING <br />G DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />